The INVOS System

Improving Patient Outcomes Through

Cerebral/Somatic Oximetry
 Backed by an improved patient outcomes
claim and 600+ peer-reviewed references.
INVOS System Advantages
Not just next-generation, its SIXTH
generation technology
The only regional oximeter with clinical
evidence to support a claim of improved
patient outcomes after surgery in
patients >2.5 kg
The clinical referenced standard in
cerebral/somatic oximetry with more
than 800 clinical references; 600 of
which are peer reviewed
Because these are unique to INVOS
technology, applying these clinical
findings to other cerebral oximeters may
not be clinically or scientifically valid
The only regional oximeter with
peer-reviewed evidence validating its
accuracy and clinical efficacy including
three randomized controlled trials
The only regional oximeter that enables
simultaneous, 4-channel cerebral and
somatic monitoring
Intended for patients of any age or
weight; with tailored sensors for adults,
children, infants and neonates
Cleared for real-time data accuracy
in patients >2.5 kg (what some call
absolute)
The only regional oximeter with a 14-
year proven history meeting the rigors of
the clinical environment and continuous
evolution of software and hardware for
expanded applications
Supported by a world-class customer
clinical team for technology education
and implementation
Not just Next-Gen,
its SIXTH generation technology
With new cerebral oximeters entering the market, you may be wondering which is the
best fit for your institution. In the INVOS System, you will find the only cerebral/
somatic oximeter backed by an improved patient outcomes claim.1-3 We attained this
through a commitment to clinical research and independent investigations that have led
to expanded clinical applications and foundations for patient care. It also resulted in 800+
clinical references unique to our product of which 600 are peer reviewed making the
INVOS System the referenced standard in clinical academia and the medical device
industry. In addition, we continually invest in innovating INVOS technology to further
increase its clinical utility and ability to improve patient care. When partnering with
us youll have the confidence that comes from a technology proven to make a positive
clinical impact and from the support of an expert sales and clinical education team.

The INVOS System provides site-specific

insights on perfusion adequacy and
with multi-sensor monitoring perfusion
distribution across the brain and body. Its
noninvasive sensors emit near infrared light
into the microvasculature below, measuring
oxy and deoxy hemoglobin in venous and
arterial blood at a 75:25 ratio. This results
in a sensitive, real-time measure of venous
oxygen reserve; the blood oxygen remaining
after extraction by tissues. Monitoring
site-specific perfusion often provides an
earlier warning of developing pathology
and deteriorating patient condition than
systemic measures or laboratory tests which
can remain normal even when ischemia is
occurring at the regional level.4-7
What about baselines?
The INVOS System provides real-time measurement
and display of regional oxygen saturation (rSO2) in the
microvasculature beneath the sensor. This data provides
critical insight into site-specific hemodynamics and perfusion
status. The INVOS System features an optional baseline
setting which adds additional dimension and value to the rSO2
measurement. Continuous monitoring from a baseline provides
an early warning of developing pathology and deteriorating
patient condition.8-11 And, since there are natural variations in
patient normals, a baseline can help show where your patient
falls on this bell curve so you can customize care unique to
the individual. Patient baselines also enable compliance with
STS Adult Cardiac Surgery and Congenital Heart Database
collection. These databases collect patient baseline data as
well as cumulative saturation below threshold (an area-under-
the-curve measure). With INVOS System software, baseline
settings can trigger the automatic collection and calculation of
area under the curve.

In fact, a 2010 query of The STS Adult Cardiac Surgery Database

showed a 23% incidence rate (8,406 of 36,548 procedures) for
cerebral oximetry providing the first indication of a technical
problem or physiological change in the patient that could
potentially lead to an adverse patient outcome.12-13 Without
baseline data, this clinical revelation may not have come to light.
As with EEG, TCD and BP monitoring, utilizing baseline data is
just good medicine.
 The absolute misnomer
The INVOS System is cleared for real-time data
accuracy (what some companies call absolute) in
patients >2.5 kg. So why dont we call it absolute?
The answer is simple and it is steeped in physiology.
Oxygen saturation represents the relative proportion
of two substances: oxy-hemoglobin to total hemo-
The Clinical Referenced Standard
800+ clinical references (nearly 600 are peer reviewed)
Three prospective, randomized controlled trials
800+ centers nationwide
Includes 90% and 80% of the top 10 adult and
pediatric heart hospitals respectively (U.S. News &
World Report, 2010)
Approximately 6,000 units worldwide
250,000 procedures annually
globin. Because these substances are constantly
changing within us, the term absolute seems
incongruous. Patients dont have an absolute blood
pressure or an absolute heart rate nor should we
expect them to have an absolute oxygen saturation.
To us, real-time data accuracy is more suitable.
Leading the Way in NIRS Technology
First U.S. adult cerebral oximeter (1996)
First pediatric cerebral oximeter (2000)
First cerebral/somatic oximeter (2005)
First cerebral/somatic oximeter backed by an improved
patient outcomes claim after surgery in patients
>2.5 kg (2009)
 References
1. Murkin JM, et al. Anesth Analg. 2007 Jan;104(1):51-8.
2. Casati A, et al. Anesth Analg. 2005 Sep;101(3):740-7.
3. http://www.accessdata.fda.gov/cdrh_docs/pdf8/K082327.pdf
4. Janelle GM, et al. Anesthesiology. 2002;96:1263-65.
5. Gottlieb EA, et al. Paediatr Anaesth. 2006;16(7):787-89.
6. Blas M, et al. J Cardiothorac Vasc Anesth. 1999;13:244-45.
7. Tobias JD. J Intensive Care Med. 2008;23:384-8.
8. Aron JH Anesth Analg. 2007;104:1034-6
9. Alie RF J Cardiothorac Vasc Anesth. 2010;24:300-2
10. Joshi RK Ped Anesth. 2006;16:178-81
11. Schwarz JM J Cardiothorac Vasc Anesth. 2007;22:95-7
12. Analysis based on cerebral oximetry data from 36,548 procedures submitted from January 1, 2008 to December 31, 2009. Adult
Cardiac Surgery Data Collection, STS Adult Cardiac Database, Version 2.61 Data Specifications (http://www.sts.org/documents/pdf
AdultCVDataSpecifications2.61.pdf)
13. Avery EG. INVOS Cerebral Oximeter Clinical White Paper Series. 2010;SMS1415(1).

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